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ICD-10 Coding for Cervical Polyp(N84.1)

Complete ICD-10-CM coding and documentation guide for Cervical Polyp. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Cervical LesionEndocervical Polyp

Related ICD-10 Code Ranges

Complete code families applicable to Cervical Polyp

N84-N84.9Primary Range

Noninflammatory disorders of female genital tract

This range includes codes for various noninflammatory disorders of the female genital tract, including cervical polyps.

Key Information: ICD-10 code for cervical polyp

Essential facts and insights about Cervical Polyp

The ICD-10 code for a cervical polyp is N84.1, used when a polyp is confirmed on the cervix.

Primary ICD-10-CM Code for cervical polyp

Polyp of cervix uteri
Billable Code

Decision Criteria

clinical Criteria

  • Confirmed presence of a cervical polyp via biopsy or visual exam.

Applicable To

  • Cervical polyp

Excludes

  • Adenomatous polyp (D28.-)
  • Placental polyp (O90.89)

Clinical Validation Requirements

  • Biopsy confirmation of cervical polyp
  • Visual examination showing polyp on cervix

Code-Specific Risks

  • Incorrectly coding adenomatous or placental polyps

Coding Notes

  • Ensure biopsy confirmation for accurate coding.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Polyp of other parts of female genital tract

N84.8
Use N84.8 for polyps located in the vagina or vulva, not the cervix.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Cervical Polyp to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N84.1.

Impact

Clinical: Inadequate information for follow-up care., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to incomplete records.

Mitigation Strategy

Use templates that prompt for size and location details.

Impact

Reimbursement: Incorrect coding can lead to denied claims or incorrect reimbursement., Compliance: Using incorrect codes can result in compliance issues during audits., Data Quality: Misclassification affects data accuracy and quality.

Mitigation Strategy

Use 57500 for excision of cervical polyps and 57460 if colposcopy with biopsy is performed.

Impact

Incomplete documentation of polyp removal procedures.

Mitigation Strategy

Use standardized templates and ensure all elements are documented.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Cervical Polyp, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Cervical Polyp

Use these documentation templates to ensure complete and accurate documentation for Cervical Polyp. These templates include all required elements for proper coding and billing.

Cervical polyp removal

Specialty: Gynecology

Required Elements

  • Patient symptoms
  • Polyp size and location
  • Method of removal
  • Hemostasis method

Example Documentation

Patient presents with postcoital bleeding. A 1.5 cm pedunculated cervical polyp was removed using ring forceps. Hemostasis achieved with silver nitrate.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Polyp seen, removed.
Good Documentation Example
2 cm friable endocervical polyp removed via cold forceps avulsion. Base cauterized with Monsel’s. Specimen sent to pathology.
Explanation
The good example provides detailed procedure notes, including size, method, and follow-up actions.

Need help with ICD-10 coding for Cervical Polyp? Ask your questions below.

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